Nicodin A, Boia E S, Popoiu M C, Cozma G, Nicodin G, Badeti R, Trailescu M, Adam O, David V L
Thoracic Surgery, University of Medicine and Pharmacy Victor Babes Timisoara, Romania.
Chirurgia (Bucur). 2010 Mar-Apr;105(2):203-10.
Pectus excavatum (PE) is the most frequent anterior chest deformity and occurs in approximately 1 in 1000 live births. In 1998 Donald Nuss introduced a new minimal invasive operative technique for PE which avoids any cartilage resection or sternum osteotomy.
The purpose of this study is to assess the short and medium time results after minimal invasive correction of pectus excavatum and to present our improvements to the original Nuss technique.
During a two years period seven PE patients were treated by us using Nuss technique. The intervention represents a premiere because it was the first Nuss operation performed by a team composed exclusively by Romanian surgeons. We present you the seven cases, our operative technique and the short and medium term outcomes.
No itraoperative incidences were recorded. Postoperative course was good for all patients. Complication occurred in three cases: two pleural effusions and a wound dehiscence. They have been all successfully resolved with no further events. Overall the therapeutic and cosmetic results were considered good by patients and their parents.
Preliminary results indicate that Nuss operation for PE correction is a safe surgical technique with excellent cosmetic outcomes. More cases and long time results are necessary to fully evaluate this technique.
漏斗胸（PE）是最常见的前胸畸形，在大约每1000例活产婴儿中就有1例发生。1998年，唐纳德·努斯引入了一种新的漏斗胸微创外科手术技术，该技术避免了任何软骨切除或胸骨截骨术。
本研究的目的是评估漏斗胸微创矫正术后的短期和中期结果，并展示我们对原始努斯技术的改进。
在两年时间里，我们使用努斯技术治疗了7例漏斗胸患者。此次干预具有开创性意义，因为这是由罗马尼亚外科医生组成的团队首次实施的努斯手术。我们向您介绍这7个病例、我们的手术技术以及短期和中期结果。
未记录到术中事件。所有患者术后恢复良好。3例出现并发症：2例胸腔积液和1例伤口裂开。所有这些并发症均已成功解决，未再出现其他情况。总体而言，患者及其家长认为治疗和美容效果良好。
初步结果表明，用于矫正漏斗胸的努斯手术是一种安全的外科技术，具有出色的美容效果。需要更多病例和长期结果来全面评估该技术。
